重度烧伤患者家庭亲密度和适应性与社交回避和苦恼的相关性

Relationship between Family Intimacy and Adaptability, and Social Avoidance and Distress in Severe Burn Patients

目的调查重度烧伤患者家庭亲密度和适应性、社交回避和苦恼的现状,探讨二者的相关性,为制定干预措施提供依据。方法 2013年1月至2015年6月,对出院后来门诊复查的289例重度烧伤患者进行现场问卷调查,包括自行设计的一般情况调查表、中文版家庭亲密度和适应性量表(FACESⅡ)、社交回避及苦恼量表(SADS),进行Pearson相关分析。结果重度烧伤患者家庭实际亲密度、实际适应性均明显低于国内常模(t>3.830,P<0.01),理想亲密度、亲密度不满意程度、理想适应性、适应性不满意程度均明显高于国内常模(t>3.857,P<0.01);SADS得分明显高于常模。重度烧伤患者家庭实际亲密度、实际适应性、FACESⅡ总分与SADS各项评分均呈负相关(P<0.05),家庭亲密度不满意程度、适应性不满意程度与SADS评分均呈正相关(P<0.05)。结论重度烧伤患者存在较为严重的社交回避和苦恼,可能受家庭亲密度和适应性下降影响。应采取有针对性的护理措施。

Objective To investigate the situation of family intimacy and adaptability, and social avoidance and distress in severe burn patients, and explore the correlation between them, so as to provide basis for intervention. Methods From January, 2013 to June, 2015, 289 patients with severe burn were surveyed with self-designed general condition questionnaire, Family Adaptability and Cohesion Evaluation Scale（FACES Ⅱ） and Social Avoidance and Distress Scale（SADS）, and analyed with Pearson correlation analysis. Results The real family intimacy and adaptability were lower in the severe burn patients than in national norm（t3.830, P〈0.01）, and the ideal family intimacy, dissatisfied intimacy level, ideal adaptability and dissatisfied adaptability level were higher in the severe burn patients than in national norm（t3.857, P〈0.01）. The SADS score was higher in the severe burn patients than in national norm. The real intimacy, real adaptability and the total score of FACES Ⅱ negatively correlated with the scores of SADS（P〈0.05）, while the levels of dissatisfied intimacy and adaptability positively correlated（P〈0.05）. Conclusion The social avoidance and distress exist in severe burn patients, which may associated with the family intimacy and adaptability, that some interventions may target to.